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Filing at a Glance Companies: Liberty Insurance Underwriters Inc. Liberty Mutual Insurance Company Product Name: LMG-IM-CLRI-04/2012-F/R State: California TOI: 09.0 Inland Marine Sub-TOI: 09.0007 Communication Equipment (Cellular Telephones) Filing Type: New Program Date Submitted: 06/23/2012 SERFF Tr Num: ASTP-128484141 SERFF Status: Closed-Rejected State Tr Num: 12-5431; 12-5432 State Status: Rejected at Intake Co Tr Num: LMG-IM-CLRI-0412-F/R Effective Date Requested (New): 08/01/2012 Effective Date Requested (Renewal): 10/01/2012 Author(s): Renee Pace Reviewer(s): Sharon Doce (primary) Disposition Date: 07/09/2012 Disposition Status: Rejected Effective Date (New): 07/09/2012 Effective Date (Renewal): SERFF Tracking #: ASTP-128484141 State Tracking #: 12-5431; 12-5432 Company Tracking #: LMG-IM-CLRI-0412-F/R State: California First Filing Company: Liberty Insurance Underwriters Inc., ... TOI/Sub-TOI: 09.0 Inland Marine/09.0007 Communication Equipment (Cellular Telephones) Product Name: LMG-IM-CLRI-04/2012-F/R Project Name/Number: / PDF Pipeline for SERFF Tracking Number ASTP-128484141 Generated 04/17/2015 11:16 PM

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  • Filing at a Glance

    Companies: Liberty Insurance Underwriters Inc.Liberty Mutual Insurance Company

    Product Name: LMG-IM-CLRI-04/2012-F/RState: CaliforniaTOI: 09.0 Inland MarineSub-TOI: 09.0007 Communication Equipment (Cellular Telephones)Filing Type: New ProgramDate Submitted: 06/23/2012SERFF Tr Num: ASTP-128484141SERFF Status: Closed-RejectedState Tr Num: 12-5431; 12-5432State Status: Rejected at IntakeCo Tr Num: LMG-IM-CLRI-0412-F/R

    Effective DateRequested (New):

    08/01/2012

    Effective DateRequested (Renewal):

    10/01/2012

    Author(s): Renee PaceReviewer(s): Sharon Doce (primary)Disposition Date: 07/09/2012Disposition Status: RejectedEffective Date (New): 07/09/2012Effective Date (Renewal):

    SERFF Tracking #: ASTP-128484141 State Tracking #: 12-5431; 12-5432 Company Tracking #: LMG-IM-CLRI-0412-F/R

    State: California First Filing Company: Liberty Insurance Underwriters Inc., ...TOI/Sub-TOI: 09.0 Inland Marine/09.0007 Communication Equipment (Cellular Telephones)Product Name: LMG-IM-CLRI-04/2012-F/RProject Name/Number: /

    PDF Pipeline for SERFF Tracking Number ASTP-128484141 Generated 04/17/2015 11:16 PM

  • General Information

    Company and Contact

    Project Name: Status of Filing in Domicile: PendingProject Number: Domicile Status Comments:Reference Organization: Reference Number:Reference Title: Advisory Org. Circular:Filing Status Changed: 07/09/2012State Status Changed: 07/09/2012 Deemer Date:Created By: Renee Pace Submitted By: Renee PaceCorresponding Filing Tracking Number:

    Filing Description:Liberty Mutual Insurance Company and Liberty Insurance Underwriters Inc. (the Company) are filing, for your review andapproval, a new Portable Electronics Commercial Inland Marine Insurance Policy.

    The Companys Portable Electronics Commercial Inland Marine Insurance Policy program provides coverage for insuredPortable Electronic Devices. Please see the enclosed filing memorandum for further details.

    Please contact me if you have additional questions.

    Sincerely,

    Renee Pace734-316-2875

    Filing Contact InformationRenee Pace, [email protected] S. Wacker Dr.,Chicago, IL 60606

    734-316-2875 [Phone]

    SERFF Tracking #: ASTP-128484141 State Tracking #: 12-5431; 12-5432 Company Tracking #: LMG-IM-CLRI-0412-F/R

    State: California First Filing Company: Liberty Insurance Underwriters Inc., ...TOI/Sub-TOI: 09.0 Inland Marine/09.0007 Communication Equipment (Cellular Telephones)Product Name: LMG-IM-CLRI-04/2012-F/RProject Name/Number: /

    PDF Pipeline for SERFF Tracking Number ASTP-128484141 Generated 04/17/2015 11:16 PM

  • Filing Fees

    State Specific

    Filing Company Information(This filing was made by a third party - asuriontpf)Liberty Mutual Insurance Company175 Berkeley St.Boston, MA 02117(617) 357-9500 ext. [Phone]

    CoCode: 23043Group Code: 111Group Name: Liberty MutualGroupFEIN Number: 04-1543470

    State of Domicile:MassachusettsCompany Type:State ID Number:

    Liberty Insurance Underwriters Inc.55 Water St., 18th FloorNew York, NY 10041(212) 208-4100 ext. [Phone]

    CoCode: 19917Group Code: 111Group Name: Liberty MutualGroupFEIN Number: 22-2227331

    State of Domicile: IllinoisCompany Type:State ID Number:

    Fee Required? NoRetaliatory? No

    Fee Explanation:

    Variance Requested? (Yes/No): No

    SERFF Tracking #: ASTP-128484141 State Tracking #: 12-5431; 12-5432 Company Tracking #: LMG-IM-CLRI-0412-F/R

    State: California First Filing Company: Liberty Insurance Underwriters Inc., ...TOI/Sub-TOI: 09.0 Inland Marine/09.0007 Communication Equipment (Cellular Telephones)Product Name: LMG-IM-CLRI-04/2012-F/RProject Name/Number: /

    PDF Pipeline for SERFF Tracking Number ASTP-128484141 Generated 04/17/2015 11:16 PM

  • Correspondence Summary

    DispositionsStatus Created By Created On Date SubmittedRejected Sharon Doce 07/09/2012 07/09/2012

    Objection Letters and Response LettersObjection Letters Response LettersStatus Created By Created On Date Submitted Responded By Created On Date SubmittedPendingcompanyresponse

    Sharon Doce 06/26/2012 06/26/2012

    SERFF Tracking #: ASTP-128484141 State Tracking #: 12-5431; 12-5432 Company Tracking #: LMG-IM-CLRI-0412-F/R

    State: California First Filing Company: Liberty Insurance Underwriters Inc., ...TOI/Sub-TOI: 09.0 Inland Marine/09.0007 Communication Equipment (Cellular Telephones)Product Name: LMG-IM-CLRI-04/2012-F/RProject Name/Number: /

    PDF Pipeline for SERFF Tracking Number ASTP-128484141 Generated 04/17/2015 11:16 PM

  • Disposition

    Disposition Date: 07/09/2012Effective Date (New): 07/09/2012Effective Date (Renewal):Status: RejectedComment:This filing was received by the Rate Filing Bureau on 6/25/2012. However, we have been unable to process your submission because it is incomplete and/or containsincorrect information. Therefore, as of the date of this notice, this application is rejected for incompleteness.

    The application is rejected for the following reason(s):

    1) Prior Approval Rate Applications must be submitted in both Excel and PDF format.2) For all rate filings received on or after June 1st, the data provided must be for the most recent year.

    Be advised that you may file a new separate application.

    If you wish to contest the determination that the application is incomplete, you must request a Rejection Hearing. Your request must be received by the Department ofInsurance within ten (10) days of the rejection date. The request for hearing, and four copies, should be directed to the Department of Insurance as follows:

    Ms. Elizabeth Mohr, Assistant Chief CounselRate Enforcement BureauCalifornia Department of Insurance45 Fremont Street, 21st FloorSan Francisco, CA 94105

    The scope of Hearing is limited to the completeness of the application as filed with the Department.

    Please refer to the California Code of Regulations, Title 10, Chapter 5, Subchapter 4.8, Article 8, Sections 2648.1 2648.4 for the specific procedures regarding thecompleteness determination hearing.

    Rate data does NOT apply to filing.Overall Rate Information for Multiple Company FilingsOverall Percentage Rate Indicated For This Filing 0.000%

    SERFF Tracking #: ASTP-128484141 State Tracking #: 12-5431; 12-5432 Company Tracking #: LMG-IM-CLRI-0412-F/R

    State: California First Filing Company: Liberty Insurance Underwriters Inc., ...TOI/Sub-TOI: 09.0 Inland Marine/09.0007 Communication Equipment (Cellular Telephones)Product Name: LMG-IM-CLRI-04/2012-F/RProject Name/Number: /

    PDF Pipeline for SERFF Tracking Number ASTP-128484141 Generated 04/17/2015 11:16 PM

  • Overall Percentage Rate Impact For This Filing 0.000%Effect of Rate Filing-Written Premium Change For This Program $0Effect of Rate Filing - Number of Policyholders Affected 0

    Schedule Schedule Item Schedule Item Status Public AccessSupporting Document Prior Approval Rate Application YesSupporting Document Third Party Authorizations YesSupporting Document Forms List YesSupporting Document Exhibits YesSupporting Document Explanatory Memorandum YesForm Commercial Inland Marine - Scheduled - Covered

    PropertyYes

    Form Portable Electronics Coverage Insurance Policy YesForm Declarations Page YesForm Account Based Coverage Endorsement A YesForm Account Based Coverage Endorsement B YesForm Account Based Coverage Endorsement C YesForm Account Based Coverage Endorsement D YesForm Device and Account Based Coverage Endorsement A YesForm Device and Account Based Coverage Endorsement B YesForm Device and Account Based Coverage Endorsement C YesForm Device and Account Based Coverage Endorsement D YesForm Electrical and Mechanical Breakdown Coverage

    EndorsementYes

    Form Account Based Coverage Endorsement E YesForm Account Based Coverage Endorsement F YesForm Device and Account Based Coverage Endorsement E YesForm Device and Account Based Coverage Endorsement F YesForm Declining Deductible Endorsement YesForm Deductible By Peril Endorsement YesForm Virus Coverage Endorsement YesForm Battery Coverage Endorsement YesForm Standard Software Schedule Endorsement YesForm Commercial Inland Marine - Standard Software Schedule Yes

    SERFF Tracking #: ASTP-128484141 State Tracking #: 12-5431; 12-5432 Company Tracking #: LMG-IM-CLRI-0412-F/R

    State: California First Filing Company: Liberty Insurance Underwriters Inc., ...TOI/Sub-TOI: 09.0 Inland Marine/09.0007 Communication Equipment (Cellular Telephones)Product Name: LMG-IM-CLRI-04/2012-F/RProject Name/Number: /

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  • Schedule Schedule Item Schedule Item Status Public AccessForm Declaration Change Endorsement YesRate State Exception Page YesRate Countrywide Rating Manual Yes

    SERFF Tracking #: ASTP-128484141 State Tracking #: 12-5431; 12-5432 Company Tracking #: LMG-IM-CLRI-0412-F/R

    State: California First Filing Company: Liberty Insurance Underwriters Inc., ...TOI/Sub-TOI: 09.0 Inland Marine/09.0007 Communication Equipment (Cellular Telephones)Product Name: LMG-IM-CLRI-04/2012-F/RProject Name/Number: /

    PDF Pipeline for SERFF Tracking Number ASTP-128484141 Generated 04/17/2015 11:16 PM

  • Objection Letter

    Objection Letter Status Pending company responseObjection Letter Date 06/26/2012Submitted Date 06/26/2012Respond By Date Dear Renee Pace, Introduction:

    Objection 1 - Prior Approval Rate Application (Supporting Document) Comments: 1. Please submit Prior Approval Rate Application in the original Excel format.2. Provide data for the most recent year, 2011.

    Thank you for your prompt attention to this request.

    Conclusion:

    Sincerely, Sharon Doce

    SERFF Tracking #: ASTP-128484141 State Tracking #: 12-5431; 12-5432 Company Tracking #: LMG-IM-CLRI-0412-F/R

    State: California First Filing Company: Liberty Insurance Underwriters Inc., ...TOI/Sub-TOI: 09.0 Inland Marine/09.0007 Communication Equipment (Cellular Telephones)Product Name: LMG-IM-CLRI-04/2012-F/RProject Name/Number: /

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  • Form Schedule

    ItemNo.

    Schedule ItemStatus

    FormName

    FormNumber

    EditionDate

    FormType

    FormAction

    Action SpecificData

    ReadabilityScore Attachments

    1 Commercial Inland Marine- Scheduled - CoveredProperty

    CLRI 003(04/2012)

    04/2012 OTH New 0.000 CLRI 003 -Covered PropertyCL 20120403.pdf

    2 Portable ElectronicsCoverage InsurancePolicy

    CLRI 005(04/2012)

    04/2012 PCF New 0.000 CLRI 005 - LMICRetail Policy CL20120403.pdf

    3 Declarations Page CLRI 006(04/2012)

    04/2012 DEC New 0.000 CLRI 006 - LMICRetail Dec CL20120403.pdf

    4 Account Based CoverageEndorsement A

    CLRI 007(04/2012)

    04/2012 END New 0.000 CLRI 007 - ABCEnd A - All LN RTCL 20120403.pdf

    5 Account Based CoverageEndorsement B

    CLRI 008(04/2012)

    04/2012 END New 0.000 CLRI 008 - ABCEnd B - All LNBonus CL20120403.pdf

    6 Account Based CoverageEndorsement C

    CLRI 009(04/2012)

    04/2012 END New 0.000 CLRI 009 - ABCEnd C - Enroll RTCL 20120403.pdf

    7 Account Based CoverageEndorsement D

    CLRI 010(04/2012)

    04/2012 END New 0.000 CLRI 010 - ABCEnd D - EnrollBonus CL20120403.pdf

    8 Device and AccountBased CoverageEndorsement A

    CLRI 011(04/2012)

    04/2012 END New 0.000 CLRI 011 -ABC_DBC End A- All LN RT CL20120403.pdf

    9 Device and AccountBased CoverageEndorsement B

    CLRI 012(04/2012)

    04/2012 END New 0.000 CLRI 012 -ABC_DBC End B- All LN BonusCL 20120403.pdf

    10 Device and AccountBased CoverageEndorsement C

    CLRI 013(04/2012)

    04/2012 END New 0.000 CLRI 013 -ABC_DBC End C- Enroll RT CL20120403.pdf

    SERFF Tracking #: ASTP-128484141 State Tracking #: 12-5431; 12-5432 Company Tracking #: LMG-IM-CLRI-0412-F/R

    State: California First Filing Company: Liberty Insurance Underwriters Inc., ...TOI/Sub-TOI: 09.0 Inland Marine/09.0007 Communication Equipment (Cellular Telephones)Product Name: LMG-IM-CLRI-04/2012-F/RProject Name/Number: /

    PDF Pipeline for SERFF Tracking Number ASTP-128484141 Generated 04/17/2015 11:16 PM

  • ItemNo.

    Schedule ItemStatus

    FormName

    FormNumber

    EditionDate

    FormType

    FormAction

    Action SpecificData

    ReadabilityScore Attachments

    11 Device and AccountBased CoverageEndorsement D

    CLRI 014(04/2012)

    04/2012 END New 0.000 CLRI 014 -ABC_DBC End D- Enroll Bonus CL20120403.pdf

    12 Electrical and MechanicalBreakdown CoverageEndorsement

    CLRI 015(04/2012)

    04/2012 END New 0.000 CLRI 015 - M andE EndorsementCL 20120403.pdf

    13 Account Based CoverageEndorsement E

    CLRI 016(04/2012)

    04/2012 END New 0.000 CLRI 016 - ABCEnd E- All LN CL- Non-Pooled20120403.pdf

    14 Account Based CoverageEndorsement F

    CLRI 017(04/2012)

    04/2012 END New 0.000 CLRI 017 - ABCEnd F - EnrollCL- Non-Pooled20120403.pdf

    15 Device and AccountBased CoverageEndorsement E

    CLRI 018(04/2012)

    04/2012 END New 0.000 CLRI 018 -ABC_DBC End E- All LN CL - Non-Pooled20120403.pdf

    16 Device and AccountBased CoverageEndorsement F

    CLRI 019(04/2012)

    04/2012 END New 0.000 CLRI 019 -ABC_DBC End F- Enroll CL - Non-Pooled20120403.pdf

    17 Declining DeductibleEndorsement

    CLRI 020(04/2012)

    04/2012 END New 0.000 CLRI 020 -DecliningDeductible CL20120403.pdf

    18 Deductible By PerilEndorsement

    CLRI 021(04/2012)

    04/2012 END New 0.000 CLRI 021 - PerilDeductible CL20120403.pdf

    19 Virus CoverageEndorsement

    CLRI 022(04/2012)

    04/2012 END New 0.000 CLRI 022 - VirusCoverage EndCL 20120403.pdf

    20 Battery CoverageEndorsement

    CLRI 023(04/2012)

    04/2012 END New 0.000 CLRI 023 -Battery CoverageEnd CL20120403.pdf

    SERFF Tracking #: ASTP-128484141 State Tracking #: 12-5431; 12-5432 Company Tracking #: LMG-IM-CLRI-0412-F/R

    State: California First Filing Company: Liberty Insurance Underwriters Inc., ...TOI/Sub-TOI: 09.0 Inland Marine/09.0007 Communication Equipment (Cellular Telephones)Product Name: LMG-IM-CLRI-04/2012-F/RProject Name/Number: /

    PDF Pipeline for SERFF Tracking Number ASTP-128484141 Generated 04/17/2015 11:16 PM

  • ItemNo.

    Schedule ItemStatus

    FormName

    FormNumber

    EditionDate

    FormType

    FormAction

    Action SpecificData

    ReadabilityScore Attachments

    21 Standard SoftwareSchedule Endorsement

    CLRI 024(04/2012)

    04/2012 END New 0.000 CLRI 024 - OtherStandardSoftwareSchedule End CL20120403.pdf

    22 Commercial Inland Marine- Standard SoftwareSchedule

    CLRI 025(04/2012)

    04/2012 OTH New 0.000 CLRI 025 -StandardSoftwareSchedule CL20120403.pdf

    23 Declaration ChangeEndorsement

    CLRI 026(04/2012)

    04/2012 END New 0.000 CLRI 026 -DeclarationChangeEndorsement CL20120403.pdf

    Form Type Legend:ABE Application/Binder/Enrollment ADV AdvertisingBND Bond CER CertificateCNR Canc/NonRen Notice DEC Declarations/ScheduleDSC Disclosure/Notice END Endorsement/Amendment/ConditionsERS Election/Rejection/Supplemental Applications OTH Other

    SERFF Tracking #: ASTP-128484141 State Tracking #: 12-5431; 12-5432 Company Tracking #: LMG-IM-CLRI-0412-F/R

    State: California First Filing Company: Liberty Insurance Underwriters Inc., ...TOI/Sub-TOI: 09.0 Inland Marine/09.0007 Communication Equipment (Cellular Telephones)Product Name: LMG-IM-CLRI-04/2012-F/RProject Name/Number: /

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  • CLRI 003 (04/2012) Page 1 of 1 2012 Asurion Insurance Services, Inc.

    Endorsement Number: Endorsement Effective Date: Modifies Policy Number: Issued to First Named Insured:

    [LIBERTY MUTUAL INSURANCE COMPANY]

    [LIBERTY INSURANCE UNDERWRITERS INC.]

    Commercial Inland Marine Scheduled Covered Property

    This schedule provides supplementary information to be used with the PORTABLE ELECTRONICS COVERAGE INSURANCE POLICY to which it is attached.

    Type of Coverage: _________________________________________________________

    Description of Property Covered Monthly Premium Rate Deductible

    Maximum Limit

  • CLRI 005 (04/2012) Page 1 of 9 2012 Asurion Insurance Services, Inc.

    [LOGO] [LIBERTY MUTUAL INSURANCE COMPANY]

    [LIBERTY INSURANCE UNDERWRITERS INC.] [insert address]

    [insert toll free number]

    PORTABLE ELECTRONICS COVERAGE INSURANCE POLICY Various provisions in this policy restrict coverage. Read the entire policy carefully to determine rights, duties and what is and is not covered. The words ''we,'' ''us'' and ''our'' refer to the Insurer shown in the DeclarationsThe terms you and your mean, as the context requires, the First Named Insured or any Additional Insured or both.

    that is providing this insurance.

    The word "Agent" refers to The term "Authorized Service Center" means

    the Agent shown in the Declarations. the service center

    The term Vendor means

    providing repair and replacement services on our behalf.

    the Vendor shown in the Declarations

    , who is the First Named Insured, providing the Covered Property.

    A. COVERAGE In exchange for premium paid when due, we agree to provide the coverage as stated in this policy on a month to month basis, provided that any covered damage or loss to the Covered Property is sustained while your coverage is in effect. 1. Who Is Covered

    a. First Named Insured The First Named Insured is the First Named Insured shown in the Declarations

    b. Additional Insureds .

    The First Named Insured has the right to request Additional Insured status for a customer for his or her interest in Covered Property which he, she or it owns (references herein to Insured refer collectively to First Named Insured and Additional Insured). Requests for coverage for Additional Insureds are subject to our approval.

    2. Covered Property

    Covered Property means the Covered Property shown in the Declarations

    3. Coverage Period

    .

    Coverage is provided for the policy period shown in the Declarations subject to Section G.4.b.

    4. Coverage Territory

    We insure the Covered Property: a. {If coverage territory a is selected in the Declarations, then the following language will appear: when

    it is present in the United States or its territories and Canada. We do not insure the Covered Property when it is outside the United States or its territories or Canada;} or

    b. {If coverage territory b is selected in the Declarations, then the following language will appear: wherever it is located in the world.}

    We may require any claims occurring outside the United States or its territories to be processed in the United States.

    5. Covered Causes of Loss

  • CLRI 005 (04/2012) Page 2 of 9 2012 Asurion Insurance Services, Inc.

    a. {If Plan 1 is selected in the Declarations, then the following language will appear: Covered Causes of Loss means risks of being directly damaged, except as limited or excluded elsewhere in this policy}; or

    b. {If Plan 2 is selected in the Declarations, then the following language will appear: Covered Causes of Loss means risks of being lost or stolen, except as limited or excluded elsewhere in this policy}; or

    c. {If Plan 3 is selected in the Declarations, then the following language will appear: Covered Causes of Loss means risks of mechanical or electrical breakdown or being directly damaged, except as limited or excluded elsewhere in this policy}; or

    d. {If Plan 4 is selected in the Declarations, then the following language will appear: Covered Causes of Loss means risks of being lost, stolen or directly damaged, except as limited or excluded elsewhere in this policy}; or

    e. {If Plan 5 is selected in the Declarations, then the following language will appear: Covered Causes of Loss means risks of mechanical or electrical breakdown or being lost, stolen or directly damaged, except as limited or excluded elsewhere in this policy.}

    6. Property Not Covered

    Covered Property does not include: a. Contraband or property in the course of illegal transportation or trade. b. Data, meaning information input to, stored on, or processed by the Covered Property. This includes

    documents, databases, messages, licenses, contact information, passwords, books, games, magazines, photos, videos, ringtones, music, and maps.

    c. Proprietary electronic devices included with automobile systems and any motor vehicle or watercraft original or after-market equipment or accessories, whether or not permanently installed, including any antenna or wiring.

    d. Property that has been entrusted to (including property in-transit) others for any service, repair or replacement, other than the Authorized Service Center

    e. Nonstandard Software, meaning software other than Standard Software. Standard Software means the operating system pre-loaded on or included as standard with the Covered Property from the manufacturer.

    or its designee.

    f. Any portable electronic device whose unique identification number (including serial number, ESN, MEID, IMEI or similar unique identification number) has been altered, defaced or removed.

    g. Nonstandard External Media, meaning physical objects on which data can be stored but which are not integrated components of the Covered Property required for it to function. This includes data cards, memory cards, external hard drives, and flash drives. Nonstandard External Media does not include Standard External Media. Standard External Media means physical objects on which data can be stored and that came standard in the original packaging with the Covered Property from the manufacturer but which are not integrated components of the Covered Property required for it to function.

    h. Any property you lease, rent or hold for others. i. Any other equipment or accessories not described as Covered Property. j. Batteries (unless otherwise covered as a covered accessory when part of a loss to other Covered

    Property).

    B. EXCLUSIONS

    This insurance does not apply to loss or damage identified in any of the following or directly or indirectly caused by or resulting from any of the following:

    1. Governmental Authority Seizure or destruction of property by order of governmental authority.

    2. Nuclear Hazard Nuclear reaction or radiation, or radioactive contamination, however caused. If physical loss or damage by fire ensues, we will pay only for such ensuing loss or damage.

    3. War

  • CLRI 005 (04/2012) Page 3 of 9 2012 Asurion Insurance Services, Inc.

    (a) War, including undeclared or civil war; (b) Warlike action by a military force; or (c) Insurrection, rebellion, revolution, usurped power or action taken by governmental authority in

    hindering or defending against any of these. Such loss or damage is excluded regardless of any other cause or event that contributes concurrently or in any sequence to the loss or damage.

    4. Delay, Loss of Use Indirect or consequential loss or damage, including loss of use, interruption of business, loss of

    service, loss of market loss of time, loss of profits, inconvenience or delay in repairing or replacing lost or damaged Covered Property.

    5. Electrical and Mechanical Breakdown

    Failure of Covered Property to operate due to a faulty part or workmanship or normal wear and tear when operated according to the manufacturers instructions.

    6. Dishonest or Criminal Acts Dishonest, fraudulent or criminal acts by you, any authorized user of the Covered Property, anyone

    you entrust with the Covered Property, or anyone else with an interest in the Covered Property for any purpose, whether acting alone or in collusion with others.

    7. Obsolescence Obsolescence or depreciation.

    8. Recall or Design Defect (a) Manufacturers recall; or (b) Error or omission in design, programming or system configuration.

    9. Cosmetic Damage Cosmetic damage, however caused, that does not affect the manufacturer's intended use. This includes: (a) Cracking, marring, or scratching. (b) Change in color or other change in the exterior finish. (c) Expansion or contraction.

    10. Covered Under Warranty Loss or damage that is covered under the manufacturers warranty. In the event we have knowledge of a prior malfunction, proof of repair may be required before coverage for future claims is applicable.

    11. Late Claims Claims not reported as required by Section E.3. of this policy.

    12. Programming, Repair Work Programming, cleaning, adjusting, repairing, modifying, installing, servicing, maintaining, or performing any other work upon Covered Property.

    13. Virus Computer virus or any other malicious code or similar instruction that: (a) Disrupts the normal operation of the Covered Property; or (b) Results in destruction of or unsuitability of data or programs stored in the Covered Property.

    14. Voluntary Parting Voluntarily parting with Covered Property by an Insured or by any person entrusted with Covered Property, whether or not induced to do so by any fraudulent scheme, trick, device or false pretense.

    15. Intentional Loss or Damage Abuse, intentional acts, or use of the Covered Property in a manner inconsistent with the use for which it was designed, intended, or advised by the manufacturer or that would void the manufacturers warranty.

  • CLRI 005 (04/2012) Page 4 of 9 2012 Asurion Insurance Services, Inc.

    16. Pollution The discharge, dispersal, seepage, migration or escape of pollutants. Pollutants means any solid, liquid, gaseous, or thermal irritant or contaminant including smoke, vapor, soot, fumes, acid, alkalis, chemicals, artificially produced electric fields, magnetic field, electromagnetic field, sound waves, microwaves, and all artificially produced ionizing or non-ionizing radiation and/or waste. Waste includes materials to be recycled, reconditioned or reclaimed.

    17. Fees or Charges Any fees or charges assessed by Vendor18. Failure to Mitigate

    , whether the charges incurred are legitimate or fraudulent.

    Failure to do what is reasonably necessary to minimize the loss and to protect the Covered Property from any further loss.

    19. Vermin Insects, rodents, or other vermin.

    C. LIMITS OF INSURANCE

    The most we will spend in any one occurrence to repair or replace Covered Property is the applicable Per Claim (Per Occurrence) Limit shown in the Declarations

    Each Additional Insured is limited to

    . The Limit of Insurance applies separately to each claim.

    the maximum number of losses as shown in the Aggregate Limit section in the Declarations

    D. DEDUCTIBLE

    in any consecutive 12 month time period, including losses incurred during any prior consecutive policy period. When this limit is exhausted, coverage will cease immediately and we will notify the Additional Insured that coverage has ceased and no future premiums are due.

    The Deductible as shown in the Declarations

    E. INSUREDS DUTIES IN EVENT OF LOSS TO INSUREDS COVERED PROPERTY

    is non-refundable and is payable at the time a loss is approved by the Agent. This Deductible will apply to each filed and approved covered claim, and does not reduce the Limit of Insurance. Only an Insured may pay the Deductible.

    In the event of loss or damage to Covered Property, the Insured presenting the claim must cooperate with us and see that the following are done: 1. Suspend Wireless Service Suspend your wireless communication service, if applicable, as soon as possible if the Covered Property

    is lost or stolen. 2. Notify Police

    If a claim involves a violation of law or any loss of possession, notify the police and obtain a police report or case number, the police station phone number, and the officers name and badge number taking the report. If requested, provide a copy of the police report to our Agent

    3. Notify Agent, Give Description within 30 days of request.

    Notify the Agent within Notification of Loss Period as shown in the DeclarationsGive a complete description of:

    of the time of loss

    a. The Covered Property, including make and model, wireless number, if applicable, and unique identification number (such as serial number, ESN, MEID, IMEI or similar unique identification number); and

    b. How, when and where the loss or damage occurred. 4. Protect

    Take all reasonable steps to protect the Covered Property from further damage. 5. Permit Inspection

    Permit us or our Agent to inspect the damaged property. If we request to evaluate your equipment failure prior to completion of your claim, we may require you to take the Covered Property to a specified location in your area, or send it to the Agent or Authorized Service Center at our expense.

  • CLRI 005 (04/2012) Page 5 of 9 2012 Asurion Insurance Services, Inc.

    6. Statement Under Oath If requested by us or our Agent, submit to questioning under oath about a claim or other matter relating to this policy. In such event, the answers must be signed and may be recorded.

    7. Proof of Loss and Ownership If required, provide: a. Proof of ownership, such as a bill of sale, receipt, proof of purchase or warranty exchange. b. A signed, sworn proof of loss or damage containing the information we or our Agent request to settle

    the claim. We may require this statement to be notarized, for which you may incur a nominal fee. c. A copy of government-issued photo identification. d. Other records and documents that may be reasonably requested. These records must be provided within 30 days after our request for the documentation.

    8. Return of Damaged and/or Malfunctioning Covered Property The Additional Insured is required to return the damaged property including, if coverage is provided under this policy, property that suffered mechanical and electrical breakdown, to the Authorized Service Center or other designated location. If the replacement equipment is sent to you, you will be provided a prepaid shipping label and envelope in which to return the damaged property. Disposal of the damaged Covered Property other than by returning it to the Authorized Service Center, or other location designated by us, requires the prior consent of us or our Agent. If the damaged Covered Property is not returned as directed within 15 days of the receipt of the replacement equipment, a Non-Return Fee as applicable to the model of Covered Property, not to exceed the Non-Return Fee as shown in the DeclarationsAny recovery of lost or stolen property will accrue entirely to our benefit.

    may be charged to the Additional Insured.

    9. Take Delivery We may make available to you the approved replacement equipment for pick up at your Vendor. We may

    also ship the approved replacement equipment through our Authorized Service Center directly to you within the United States for which you must be available to take delivery of the replacement equipment within 30 days of claim authorization. If you are not available at the time you agree to take delivery, you may be required to pay the costs of reshipping your replacement equipment.

    F. OUR DUTIES IN EVENT OF LOSS 1. When We Repair or Replace

    If a claim is made, we or our Agent will notify the Insured of our Agents assessment of the claim within 10 days after we or our Agent

    Repair or replacement of the lost or damaged Covered Property will be done within 30 days after the Insured, or his or her designee has complied with all the terms of this policy, and we have agreed with the Insured about the repair or replacement.

    receive all the information requested from the Insured presenting the claim.

    2. Our Options At our option, we or the Authorized Service Center may repair the Covered Property with substitute parts or provide substitute equipment that:

    a. Is of like kind, quality and functionality; b. Is either new, refurbished or remanufactured, and may contain original or non-original manufacturer

    parts; and c. May be a different brand, model or color.

    G. ADDITIONAL CONDITIONS

    1. Arbitration Agreement

    Please read this Arbitration Agreement carefully. It affects your rights. Most of your concerns about this policy can be addressed simply by contacting us at insert toll free number. In the unlikely event we cannot resolve any disputes, including any claims under this policy, that you or we may have, YOU AND WE AGREE TO RESOLVE THOSE DISPUTES THROUGH EITHER BINDING ARBITRATION OR

  • CLRI 005 (04/2012) Page 6 of 9 2012 Asurion Insurance Services, Inc.

    SMALL CLAIMS COURT INSTEAD OF THROUGH COURTS OF GENERAL JURISDICTION. YOU AND WE AGREE THAT ANY ARBITRATION WILL TAKE PLACE ON AN INDIVIDUAL BASIS ONLY. YOU AND WE AGREE TO WAIVE THE RIGHT TO A TRIAL BY JURY AND TO PARTICIPATE IN CLASS ARBITRATIONS AND CLASS ACTIONS. Arbitration is more informal than a lawsuit in court. Arbitration uses a neutral arbitrator instead of a judge or jury. It has more limited discovery than in court and is subject to limited review by courts. Arbitrators can award the same damages and relief that a court can award.

    For the purpose of this Arbitration Agreement, references to we us and our includes [Liberty Mutual Insurance Company] [Liberty Insurance Underwriters Inc.], our Agent, the First Named Insured and their respective parents, subsidiaries, affiliates, agents, employees, successors and assigns. This policy evidences a transaction in interstate commerce, and thus the Federal Arbitration Act governs the interpretation and enforcement of this Arbitration Agreement. This Arbitration Agreement shall survive the termination of this policy.

    This Arbitration Agreement is intended to be interpreted broadly, and it includes any dispute: (1) arising out of or relating in any way to the policy or to the relationship between You and Us, whether based in contract, tort, statute, fraud, misrepresentation or otherwise; (2) that arose either before this Arbitration Agreement or policy was entered into by you and us or that arises after this Arbitration Agreement or policy is terminated; and (3) that currently is the subject of a purported class action litigation in which you are not a member of a certified class. Notwithstanding the foregoing, this Arbitration Agreement does not preclude you from bringing an individual action in small claims court or from informing any federal, state or local agencies or entities of your dispute. Such agencies or entities may be able to seek relief on your behalf.

    If you or we intend to seek arbitration you and we must first send to the other a written Notice of Claim (Notice) by certified mail. Your Notice to us should be addressed to: insert address. The Notice must describe the dispute and state the specific relief sought. If you and we do not resolve the dispute within 30 days of receipt of the Notice, you or we may initiate an arbitration proceeding with the American Arbitration Association (AAA). You can obtain the forms necessary to initiate an arbitration proceeding by visiting www.adr.org or by calling 1-800-778-7879. After we receive notice that you have commenced arbitration, we will reimburse you for payment of any filing fee to the AAA. If you are unable to pay a required filing fee, we will pay it if you send a written request by certified mail to: insert address. The arbitration shall be administered by the AAA in accordance with the Commercial Arbitration Rules and the Supplementary Procedures for Consumer Related Disputes (the Arbitration Rules) in effect at the time the arbitration is initiated and as modified by this Arbitration Agreement. You can obtain a copy of the Arbitration Rules by visiting www.adr.org or by calling 1-800-778-7879.

    The arbitrator appointed by the AAA to decide the dispute is bound by the terms of this Arbitration Agreement. All issues are for the arbitrator to decide, including the scope of this Arbitration Agreement, with the exception that issues relating to the enforceability of this Arbitration Agreement may be decided by a court. Unless you and we agree otherwise, any arbitration hearings will take place in the county or parish of your billing address. If your dispute is for $10,000 or less, you may choose to conduct the arbitration hearings either by submitting documents to the arbitrator or by appearing before the arbitrator in person or by telephone. If your dispute is for more than $10,000, the right to arbitration hearings will be determined by the Arbitration Rules. We will pay all filing, administration and arbitrator fees for any arbitration initiated pursuant to this Arbitration Agreement, unless your dispute is found by the arbitrator to have been frivolous or brought for an improper purpose under Federal Rule of Civil Procedure 11(b). In that case, the payment of such fees shall be governed by the Arbitration Rules.

    At the conclusion of the arbitration hearings, the arbitrator shall issue a written decision which includes an explanation of the facts and law upon which the decision is based. If the arbitrator finds in your favor and issues a damages award that is greater than the value of the last settlement offer made by us or if we made no settlement offer and the arbitrator awards you any damages, we will: (1) pay you the amount of the damages award or $7,500, whichever is greater; and (2) pay your attorney, if any, twice the amount of the attorney's fees and the actual amount of any expenses reasonably incurred when pursuing your dispute in arbitration. You and we agree not to disclose any settlement offers to the arbitrator until after the arbitrator has issued the written decision. The arbitrator may resolve any disputes regarding attorney's fees and expenses either during the arbitration hearings or, upon request, within 14 days of the arbitrator's written decision. While the right to the attorneys fees and expenses discussed above is in

  • CLRI 005 (04/2012) Page 7 of 9 2012 Asurion Insurance Services, Inc.

    addition to any right you may have under applicable law, neither you nor your attorney may recover duplicate awards of attorneys fees and expenses. Although we may have the right under applicable law to recover attorneys fees and expenses from you if we prevail in the arbitration, we hereby waive the right to do so.

    To the extent either declaratory or injunctive relief is sought in the arbitration, such relief can be awarded only to the extent necessary to provide the relief warranted by a party's individual claim. YOU AND WE AGREE THAT EACH MAY BRING CLAIMS AGAINST THE OTHER ONLY IN AN INDIVIDUAL CAPACITY AND NOT AS A PLAINTIFF OR CLASS MEMBER IN ANY PURPORTED CLASS OR REPRESENTATIVE PROCEEDING. Unless you and we agree otherwise, the arbitrator may not consolidate the dispute of another person with your or our dispute and may not preside over any form of a representative or class proceeding. If this specific provision of this Arbitration Agreement is found to be unenforceable, then the entirety of this Arbitration Agreement shall be null and void.

    2. Claim Authorization and Loss Payment

    We or our AgentNo claims will be accepted unless authorized by

    has the right to settle the loss with the Insured or his or her designee.

    All repairs and replacements must be made by the Authorized Service Center, unless we or our Agent gives the Insured other specific directions. In no event will Insureds be entitled to reimbursement for any out-of-pocket expenses.

    our Agent.

    3. Cancellation a. How An Additional Insured Cancels

    An Additional Insured may cancel the coverage provided by notifying the Agent or First Named Insured who will advise the Agent.

    b. How We Cancel We may cancel this policy or change the terms and conditions only upon providing the First Named Insured and Additional Insured with at least thirty (30) days notice or other longer period as required by law unless we cancel for the following reasons: (1) We may cancel an Additional Insured under this policy upon fifteen (15) days notice or other

    longer period as required by law for discovery of fraud or material misrepresentation in obtaining coverage or in the presentation of a claim thereunder.

    (2) We may cancel an Additional Insured under this policy immediately or other longer period as required by law for the following reasons:

    (a) for nonpayment of premium; or

    (b) if the Additional Insured exhausts the Aggregate Limit of liability, if any, under the terms of this policy and we send notice of cancellation to the Additional Insured within thirty (30) calendar days after exhaustion of the limit. However, if notice is not timely sent, enrollment shall continue notwithstanding the Aggregate Limit of liability until we send notice of cancellation to the Additional Insured.

    c. How First Named Insured Cancels If this policy is cancelled by the First Named Insured, the First Named Insured shall mail or deliver written notice to each Additional Insured advising the Additional Insured of the cancellation of the policy and the effective date of cancellation. The written notice shall be mailed or delivered to the Additional Insured at least thirty (30) days prior to the cancellation.

    d. How Notice of Cancellation is Provided Notices made pursuant to Section G.3.b. and c. shall be in writing and include the actual reason for cancellation and the effective date of cancellation. The coverage will end on that date. Notices may be mailed or delivered to the First Named Insured at its mailing address. Notices may be mailed or delivered to the affected Additional Insureds last known mailing or electronic addresses on file with us. We or the First Named Insured shall maintain proof of mailing in a form authorized or accepted by the United States Postal Service or other commercial mail delivery service. We or the First Named

  • CLRI 005 (04/2012) Page 8 of 9 2012 Asurion Insurance Services, Inc.

    Insured may comply with Section G.3.b. and c. by providing such notice or correspondence to the First Named Insured or its Additional Insureds by electronic means. If accomplished through electronic means, we or the First Named Insured shall maintain proof that the notice or correspondence was sent. The First Named Insured agrees to pay or act as delivery agent for notice of cancellation to all Additional Insureds.

    e. Return Premiums, If Any If this policy is canceled, any refunds due will be on a pro rata basis. The cancellation will be effective even if the refund has not been made or offered.

    4. Eligibility

    a. To be eligible for coverage you must 1. not have engaged in fraud or abuse with respect to this or a similar communications equipment insurance program; and 2. not be in breach of any material term of this policy, including but not limited to failure to return damaged Covered Property when requested in conjunction with a loss.

    b. {If Coverage Eligibility 1 is selected in the Declarations, then the following language will appear: If you request enrollment of coverage and your request is approved by us, your coverage is retroactive to the date of your application. The successful completion of a test call to the Covered Property may be required prior to our approval.}

    {If Coverage Eligibility 2 is selected in the Declarations, then the following language will appear: If your request for enrollment of coverage is submitted on the date of purchase of the Covered Property, and your request is approved by us, your coverage is retroactive to the date of your application. If your request for enrollment of coverage is submitted after the date of purchase of the Covered Property and your request is approved by us, coverage will begin after a waiting period of the number of days shown in the Declarations

    {If Coverage Eligibility 3 is selected in the Declarations, then the following language will appear: If your request for enrollment of coverage is submitted on the date of purchase of the Covered Property, and your request is approved by us, your coverage will begin after a waiting period of

    days following the submission of your request for enrollment, unless we or our Agent notify you prior to completion of the waiting period that your request is not approved. The successful completion of a test call to the Covered Property may be required prior to our approval.}

    the number of days shown in the Declarations

    {If Coverage Eligibility 4 is selected in the Declarations, then the following language will appear: If you request enrollment and your request is approved by us, your coverage is effective on the date of approval of your application. We or our Agent will notify you once your application has been reviewed. The successful completion of a test call to the Covered Property may be required prior to our approval.}

    days following the submission of your request for enrollment, unless we or our Agent notify you prior to completion of the waiting period that your request is not approved. The successful completion of a test call to the Covered Property may be required prior to our approval.}

    Eligibility for enrollment after the date of purchase may be subject to limitations.

    5. Changes

    The First Named Insured, on its own behalf and on behalf of the Additional Insureds, is authorized to make changes in the terms of this policy with our consent. This policy's terms can be amended or waived only by endorsement issued by us and made a part of this policy. If notice of such changes is mailed, proof of mailing will be sufficient proof of notice.

    6. Concealment, Misrepresentation or Fraud This policy is voidable in any case of fraud, intentional concealment or misrepresentation of a material fact, by either the First Named Insured or any Additional Insured or their designee at any time, concerning: a. This policy;

  • CLRI 005 (04/2012) Page 9 of 9 2012 Asurion Insurance Services, Inc.

    b. The Covered Property; c. The Insured's interest in the Covered Property; or d. A claim under this policy; but only with respect to their coverage.

    7. Conformity To Statute We agree that any terms of this policy not in conformity with the statutes of the state in which this policy is issued are amended to conform to those applicable state statutes.

    8. Benefit Only Available To Insureds No person or organization, other than an Insured, will benefit from this insurance. We may provide you access to other limited benefits or services related to your Covered Property where available. These may include: property location or recovery services; data management or recovery services; equipment service and maintenance; reduced cost upgrade or purchase benefits or other services provided through your Vendor or other authorized service facilities.

    9. Legal Action Against Us No one may bring a legal action against us under this policy unless: a. There has been full compliance with all the terms of this policy; b. The action is brought within 2 years after the Insured has knowledge of the loss or damage; c. The action is brought in compliance with Section G.1.

    10. Liberalization If we adopt any revision in this policy which would broaden the Coverage under this policy without additional premium within 60 days prior to or during the policy period, the broadened coverage will immediately apply to this policy.

    11. Premiums a. The First Named Insured is responsible for the payment of all premiums. b. Within fifteen days after the end of each month, the First Named Insured:

    (1) Will report to the Agent the total number of Covered Property units that were covered under this policy as of the last day of that month; and

    (2) Will remit the monthly premium to us through the Agent based on that report. The monthly premium will be calculated by multiplying the Monthly Premium Rate per unit of Covered Property by the total number of such units.

    c. The First Named Insured may request that Additional Insureds be billed for the Monthly Premium Rate applicable to their Covered Property. If the First Named Insured provides monthly billing and collection services for the Agent, all funds collected by the First Named Insured are our property. We may examine and audit the First Named Insureds books and records relating to such premium payments and reporting at any time during the policy period and up to three years afterward.

    12. Transfer of Rights and Duties Under This Policy (Assignment) No rights and duties under this policy may be transferred without our written consent.

    13. Transfer of Rights of Recovery Against Others To Us (Subrogation) If after we have made good the covered loss or damage, any Insured has rights to recover damages from another, and those rights are transferred to us to the extent of our cost of repair or replacement. The Insured must do everything necessary to secure our rights and must do nothing after loss or damage to impair them.

    In witness whereof, the Insurer has caused this policy to be signed by its President and its Secretary. __________________________ __________________________ President Secretary

  • CLRI 006 (04/2012) Page 1 of 2 2012 Asurion Insurance Services, Inc.

    [LOGO] This Commercial Inland Marine Policy is underwritten by

    [LIBERTY MUTUAL INSURANCE COMPANY] [LIBERTY INSURANCE UNDERWRITERS INC.]

    [insert address] [insert toll free number]

    Insurer:

    Vendor:

    Policy Number:

    First Named Insured: and Mailing Address:

    Policy Period: From: To: 12:01 a.m., standard time at the mailing address shown above.

    Agent:

    Insurance Provided: In return for the payment of the premium, and subject to all the terms of this policy, we agree to provide the insurance as stated in this policy.

    Covered Property:

    Coverage Territory: {Please refer to Section A. COVERAGE, Subsection 4 Coverage Territory}

    (a)

    (b)

    Covered Causes of Loss: {Please refer to Section A. COVERAGE, Subsection 5. Covered Causes of Loss}

    Plan 1 Plan 2 Plan 3 Plan 4 Plan 5

    Limits of Insurance {Please refer to Section C. LIMITS OF INSURANCE}

    Per Claim (Per Occurrence) Limit:

    Aggregate Limit: Deductible: {Please refer to Section D. DEDUCTIBLE}

  • CLRI 006 (04/2012) Page 2 of 2 2012 Asurion Insurance Services, Inc.

    Notification of Loss Period: {Please refer to Section E. INSUREDS

    DUTIES IN EVENT OF LOSS TO INSUREDS COVERED PROPERTY, Subsection 3.Notify Agent, Give Description}

    Non-Return Fee: {Please refer to Section E. INSUREDS

    DUTIES IN EVENT OF LOSS TO INSUREDS COVERED PROPERTY, Subsection 8. Return of Damaged and/or Malfunctioning Covered Property}

    Coverage Eligibility: {Please refer to Section G.

    ADDITIONAL CONDITIONS, Subsection 4. Eligibility}

    (1)

    (2) Waiting period of

    (3) Waiting period of

    (4)

    Monthly Premium Rate: {Please refer to Section G. ADDITIONAL CONDITIONS, Subsection 11.Premiums}

    Form Numbers of Coverage Forms, Endorsements and other forms that are a part of this policy:

    Our President and Secretary have signed this policy.

  • CLRI 007 (04/2012) Page 1 of 2 2012 Asurion Insurance Services, Inc.

    Endorsement Number: Endorsement Effective Date: Modifies Policy Number: Issued to First Named Insured:

    [LIBERTY MUTUAL INSURANCE COMPANY]

    [LIBERTY INSURANCE UNDERWRITERS INC.]

    THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

    ACCOUNT BASED COVERAGE ENDORSEMENT A

    This endorsement modifies insurance provided under the PORTABLE ELECTRONICS COVERAGE INSURANCE POLICY as follows:

    I. Subparagraph b. Additional Insureds of Paragraph 1. Who Is Covered of Section A.

    COVERAGE is deleted and replaced by the following:

    b. Additional Insureds

    The First Named Insured has the right to request Additional Insured status for a customer for his or her interest in the Covered Property which he, she or it owns (references herein to Insured refer collectively to First Named Insured and Additional Insured). Requests for coverage for Additional Insureds are subject to our approval. Account Based Coverage provides coverage for Covered Property active on the Additional Insureds account with the Vendor.

    When an Additional Insured adds a new portable electronic device to their account with the Vendor, it immediately becomes Covered Property. When a portable electronic device is removed from the Additional Insureds account with the Vendor, it immediately ceases to be Covered Property.

    II. Section C. LIMITS OF INSURANCE is deleted and replaced by the following:

    C. LIMITS OF INSURANCE

    1. The most we will spend in any one occurrence to repair or replace Covered Property

    is the applicable Per Claim (Per Occurrence) Limit shown in the Declarations

    . This Limit of Insurance applies separately to each claim.

    {The language next to the check box will not appear in the policy if there are a fixed number of losses}

    2. The maximum number of losses in any consecutive 12 month time period, including losses incurred during any prior consecutive policy period, for each Additional Insureds account is limited to the applicable Aggregate Limit as shown in the Declarations

    .

  • CLRI 007 (04/2012) Page 2 of 2 2012 Asurion Insurance Services, Inc.

    The applicable Aggregate Limit is determined based on the total number of portable electronic devices on an Additional Insureds account with the Vendor. If during the coverage period, the Additional Insured adds or removes portable electronic devices from their account with the Vendor, the Aggregate Limit will automatically be adjusted. In the event an Additional Insured removes mobile numbers from their account with the Vendor and the number of losses in the prior 12 month time period equals or exceeds the Aggregate Limit applicable to the new number of portable electronic devices on their account, coverage will cease immediately.

    When this limit is exhausted, we will notify the Additional Insured that coverage has ceased and no future premiums are due.

    III. Subparagraph b. (2) of Paragraph 11. Premiums of Section G. ADDITIONAL CONDITIONS is deleted and replaced by the following:

    (2) Will remit the monthly premium to us through the Agent based on that report.

    The monthly premium will be calculated by summing the Monthly Premium Rates for the total number of insured accounts.

    All other terms and conditions of the policy remain in full force and effect.

  • CLRI 008 (04/2012) Page 1 of 2 2012 Asurion Insurance Services, Inc.

    Endorsement Number: Endorsement Effective Date: Modifies Policy Number: Issued to First Named Insured:

    [LIBERTY MUTUAL INSURANCE COMPANY]

    [LIBERTY INSURANCE UNDERWRITERS INC.]

    THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

    ACCOUNT BASED COVERAGE ENDORSEMENT B

    This endorsement modifies insurance provided under the PORTABLE ELECTRONICS COVERAGE INSURANCE POLICY as follows: I. Subparagraph b. Additional Insureds of Paragraph 1. Who Is Covered of Section A.

    COVERAGE is deleted and replaced by the following: b. Additional Insureds

    The First Named Insured has the right to request Additional Insured status for a customer for his or her interest in the Covered Property which he, she or it owns (references herein to Insured refer collectively to First Named Insured and Additional Insured). Requests for coverage for Additional Insureds are subject to our approval. Account Based Coverage provides coverage for Covered Property active on the Additional Insureds account with the Vendor. When an Additional Insured adds a new portable electronic device to their account with the Vendor, it immediately becomes Covered Property. When a portable electronic device is removed from the Additional Insureds account with the Vendor, it immediately ceases to be Covered Property.

    II. Section C. LIMITS OF INSURANCE is deleted and replaced by the following: C. LIMITS OF INSURANCE

    1. The most we will spend in any one occurrence to repair or replace Covered Property

    is the applicable Per Claim (Per Occurrence) Limit shown in the Declarations

    . This Limit of Insurance applies separately to each claim.

    {The language next to the check box will not appear in the policy if there are a fixed number of losses}

    2. The maximum number of losses in any consecutive 12 month time period for each Additional Insureds account, including losses incurred during any prior consecutive policy period, is limited to the applicable Aggregate Limit as shown in the Declarations

    .

  • CLRI 008 (04/2012) Page 2 of 2 2012 Asurion Insurance Services, Inc.

    The applicable Aggregate Limit is determined based on the total number of portable electronic devices on an Additional Insureds account with the Vendor at the time coverage for the Additional insured begins. If during the coverage period, the Additional Insured adds or removes portable electronic devices from their account with the Vendor, the Aggregate Limit will automatically adjust after completion of each covered claim based on the total number of portable electronic devices on their account immediately after completion of the claim. If the number of losses in the prior 12 month time period equals or exceeds the Aggregate Limit applicable after completion of the claim, coverage will cease immediately.

    When this limit is exhausted, we will notify the Additional Insured that coverage has ceased and no future premiums are due.

    III. Subparagraph b. (2) of Paragraph 11. Premiums of Section G. ADDITIONAL CONDITIONS

    is deleted and replaced by the following:

    (2) Will remit the monthly premium to us through the Agent based on that report. The monthly premium will be calculated by summing the Monthly Premium Rates for the total number of insured accounts.

    All other terms and conditions of the policy remain in full force and effect.

  • CLRI 009 (04/2012) Page 1 of 2 2012 Asurion Insurance Services, Inc.

    Endorsement Number: Endorsement Effective Date: Modifies Policy Number: Issued to First Named Insured:

    [LIBERTY MUTUAL INSURANCE COMPANY]

    [LIBERTY INSURANCE UNDERWRITERS INC.]

    THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

    ACCOUNT BASED COVERAGE ENDORSEMENT C

    This endorsement modifies insurance provided under the PORTABLE ELECTRONICS COVERAGE INSURANCE POLICY as follows:

    I. Subparagraph b. Additional Insureds of Paragraph 1. Who Is Covered of Section A.

    COVERAGE is deleted and replaced by the following:

    b. Additional Insureds

    The First Named Insured has the right to request Additional Insured status for a customer for his or her interest in the Covered Property which he, she or it owns (references herein to Insured refer collectively to First Named Insured and Additional Insured). Requests for coverage for Additional Insureds are subject to our approval.

    Account Based Coverage provides coverage for the enrolled Covered Property active on the Additional Insureds account with the Vendor. For coverage to exist on any portable electronic device, you must have enrolled the device for Account Based Coverage.

    When an Additional Insured enrolls a new portable electronic device for coverage, coverage is effective immediately on the newly enrolled portable electronic device. When a portable electronic device is removed from the Additional Insureds account with the Vendor, it immediately ceases to be Covered Property.

    II. Section C. LIMITS OF INSURANCE is deleted and replaced by the following:

    C. LIMITS OF INSURANCE

    1. The most we will spend in any one occurrence to repair or replace Covered Property

    is the applicable Per Claim (Per Occurrence) Limit shown in the Declarations

    . This Limit of Insurance applies separately to each claim.

    {The language next to the check box will not appear in the policy if there are a fixed number of losses}

    2. The maximum number of losses in any consecutive 12 month time period for each Additional Insureds account, including losses incurred during any prior consecutive

  • CLRI 009 (04/2012) Page 2 of 2 2012 Asurion Insurance Services, Inc.

    policy period, is limited to the applicable Aggregate Limit as shown in the Declarations

    .

    The applicable Aggregate Limit is determined based on the total number of enrolled portable electronic devices on an Additional Insureds account with the Vendor. If during the coverage period, the Additional Insured adds or removes enrolled portable electronic devices from their account with the Vendor, the Aggregate Limit will automatically be adjusted. In the event an Additional Insured removes mobile numbers from their account with the Vendor and the number of losses in the prior 12 month time period equals or exceeds the Aggregate Limit applicable to the new number of enrolled portable electronic devices on their account, coverage will cease immediately.

    When this limit is exhausted, we will notify the Additional Insured that coverage has ceased and no future premiums are due.

    III. Subparagraph b. (2) of Paragraph 11. Premiums of Section G. ADDITIONAL CONDITIONS is deleted and replaced by the following:

    (2) Will remit the monthly premium to us through the Agent based on that report.

    The monthly premium will be calculated by summing the Monthly Premium Rates for the total number of insured accounts.

    All other terms and conditions of the policy remain in full force and effect.

  • CLRI 010 (04/2012) Page 1 of 2 2012 Asurion Insurance Services, Inc.

    Endorsement Number: Endorsement Effective Date: Modifies Policy Number: Issued to First Named Insured:

    [LIBERTY MUTUAL INSURANCE COMPANY]

    [LIBERTY INSURANCE UNDERWRITERS INC.]

    THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

    ACCOUNT BASED COVERAGE ENDORSEMENT D

    This endorsement modifies insurance provided under the PORTABLE ELECTRONICS COVERAGE INSURANCE POLICY as follows: I. Subparagraph b. Additional Insureds of Paragraph 1. Who Is Covered of Section A.

    COVERAGE is deleted and replaced by the following:

    b. Additional Insureds

    The First Named Insured has the right to request Additional Insured status for a customer for his or her interest in the Covered Property which he, she or it owns (references herein to Insured refer collectively to First Named Insured and Additional Insured). Requests for coverage for Additional Insureds are subject to our approval.

    Account Based Coverage provides coverage for the enrolled Covered Property on the Additional Insureds account with the Vendor. For coverage to exist on any portable electronic device, you must have enrolled the device for Account Based Coverage.

    When an Additional Insured enrolls a new portable electronic device for coverage, coverage is effective immediately on the newly enrolled portable electronic device. When a portable electronic device is removed from the Additional Insureds account with the Vendor, it immediately ceases to be Covered Property.

    II. Section C. LIMITS OF INSURANCE is deleted and replaced by the following:

    C. LIMITS OF INSURANCE

    1. The most we will spend in any one occurrence to repair or replace Covered Property

    is the applicable Per Claim (Per Occurrence) Limit shown in the Declarations

    . This Limit of Insurance applies separately to each claim.

    {The language next to the check box will not appear in the policy if there are a fixed number of losses}

    2. The maximum number of losses in any consecutive 12 month time period, including losses incurred during any prior consecutive policy period, for each Additional

  • CLRI 010 (04/2012) Page 2 of 2 2012 Asurion Insurance Services, Inc.

    Insureds account is limited to the applicable Aggregate Limit as shown in the Declarations

    .

    The applicable Aggregate Limit is determined based on the total number of enrolled portable electronic devices on an Additional Insureds account with the Vendor at the time coverage for the Additional insured begins. If during the coverage period, the Additional Insured adds or removes enrolled portable electronic devices from their account with the Vendor, the Aggregate Limit will automatically adjust after completion of each covered claim based on the total number of enrolled portable electronic devices on their account immediately after completion of the claim. If the number of losses in the prior 12 month time period equals or exceeds the Aggregate Limit applicable after completion of the claim, coverage will cease immediately.

    When this limit is exhausted, we will notify the Additional Insured that coverage has ceased and no future premiums are due.

    III. Subparagraph b. (2) of Paragraph 11. Premiums of Section G. ADDITIONAL CONDITIONS is deleted and replaced by the following:

    (2) Will remit the monthly premium to us through the Agent based on that report.

    The monthly premium will be calculated by summing the Monthly Premium Rates for the total number of insured accounts.

    All other terms and conditions of the policy remain in full force and effect.

  • CLRI 011 (04/2012) Page 1 of 2 2012 Asurion Insurance Services, Inc.

    Endorsement Number: Endorsement Effective Date: Modifies Policy Number: Issued to First Named Insured:

    [LIBERTY MUTUAL INSURANCE COMPANY]

    [LIBERTY INSURANCE UNDERWRITERS INC.]

    THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

    DEVICE AND ACCOUNT BASED COVERAGE

    ENDORSEMENT A

    This endorsement modifies insurance provided under the PORTABLE ELECTRONICS COVERAGE INSURANCE POLICY as follows:

    I. Subparagraph b. Additional Insureds of Paragraph 1. Who Is Covered of Section A.

    COVERAGE is deleted and replaced by the following:

    b. Additional Insureds

    The First Named Insured has the right to request Additional Insured status for a customer for his or her interest in the Covered Property which he, she or it owns (references herein to Insured refer collectively to First Named Insured and Additional Insured). Requests for coverage for Additional Insureds are subject to our approval.

    (1) Device Based Coverage provides coverage for Covered Property associated with a

    specific enrolled portable electronic device active on the Additional Insureds account with the Vendor.

    (2) Account Based Coverage provides coverage for Covered Property active on the

    Additional Insureds account with the Vendor.

    When an Additional Insured adds a new portable electronic device to their account with the Vendor, if the Additional Insured has previously chosen Account Based Coverage, the new portable electronic device immediately becomes Covered Property. When a portable electronic device is removed from the Additional Insureds account with the Vendor, it immediately ceases to be Covered Property.

    II. Section C. LIMITS OF INSURANCE is deleted and replaced by the following:

    C. LIMITS OF INSURANCE

    1. The most we will spend in any one occurrence to repair or replace Covered Property

    is the applicable Per Claim (Per Occurrence) Limit shown in the Declarations. This Limit of Insurance applies separately to each claim.

  • CLRI 011 (04/2012) Page 2 of 2 2012 Asurion Insurance Services, Inc.

    2. When Device Based Coverage is chosen by the Additional Insured, each Additional

    Insured is limited to the maximum number of losses as shown in the Aggregate Limit section in the Declarations

    in any consecutive 12 month time period, including losses incurred during any prior consecutive policy period. When this limit is exhausted, coverage will cease immediately and we will notify the Additional Insured that coverage has ceased and no future premiums are due.

    {The language next to the check box will not appear in the policy if there are a fixed number of losses}

    3. When Account Based Coverage is chosen by the Additional Insured, The maximum number of losses in any consecutive 12 month time period for each Additional Insureds account, including losses incurred during any prior consecutive policy period, is limited to the applicable Aggregate Limit as shown in the Declarations

    .

    The applicable Aggregate Limit is determined based on the total number of portable electronic devices on an Additional Insureds account with the Vendor. If during the coverage period, the Additional Insured adds or removes portable electronic devices from their account with the Vendor, the Aggregate Limit will automatically be adjusted. In the event an Additional Insured removes portable electronic devices from their account with the Vendor and the number of losses in the prior 12 month time period equals or exceeds the Aggregate Limit applicable to the new number of portable electronic devices on their account, coverage will cease immediately.

    When this limit is exhausted, we will notify the Additional Insured that coverage has ceased and no future premiums are due.

    III. Subparagraph b. (2) of Paragraph 11. Premiums of Section G. ADDITIONAL CONDITIONS is deleted and replaced by the following:

    (2) Will remit the monthly premium to us through the Agent based on that report.

    For Device Based Coverage, the monthly premium will be calculated by multiplying the Monthly Premium Rate per unit of Covered Property by the total number of such units. For Account Based Coverage, the monthly premium will be calculated by summing the Monthly Premium Rates for the total number of insured accounts.

    All other terms and conditions of the policy remain in full force and effect.

  • CLRI 012 (04/2012) Page 1 of 2 2012 Asurion Insurance Services, Inc.

    Endorsement Number: Endorsement Effective Date: Modifies Policy Number: Issued to First Named Insured:

    [LIBERTY MUTUAL INSURANCE COMPANY]

    [LIBERTY INSURANCE UNDERWRITERS INC.]

    THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

    DEVICE AND ACCOUNT BASED COVERAGE ENDORSEMENT B

    This endorsement modifies insurance provided under the PORTABLE ELECTRONICS COVERAGE INSURANCE POLICY as follows:

    I. Subparagraph b. Additional Insureds of Paragraph 1. Who Is Covered of Section A.

    COVERAGE is deleted and replaced by the following:

    b. Additional Insureds

    The First Named Insured has the right to request Additional Insured status for a customer for his or her interest in the Covered Property which he, she or it owns (references herein to Insured refer collectively to First Named Insured and Additional Insured). Requests for coverage for Additional Insureds are subject to our approval.

    (1) Device Based Coverage provides coverage for Covered Property associated with a

    specific enrolled portable electronic device active on the Additional Insureds account with the Vendor.

    (2) Account Based Coverage provides coverage for Covered Property active on the

    Additional Insureds account with the Vendor.

    When an Additional Insured adds a new portable electronic device to their account with the Vendor, if the Additional Insured has previously chosen Account Based Coverage, the new portable electronic device immediately becomes Covered Property. When a portable electronic device is removed from the Additional Insureds account with the Vendor, it immediately ceases to be Covered Property.

    II. Section C. LIMITS OF INSURANCE is deleted and replaced by the following:

    C. LIMITS OF INSURANCE

  • CLRI 012 (04/2012) Page 2 of 2 2012 Asurion Insurance Services, Inc.

    1. The most we will spend in any one occurrence to repair or replace Covered Property is the applicable Per Claim (Per Occurrence) Limit shown in the Declarations

    . This Limit of Insurance applies separately to each claim.

    2. When Device Based Coverage is chosen by the Additional Insured, each Additional Insured is limited to the maximum number of losses as shown in the Aggregate Limit section in the Declarations

    in any consecutive 12 month time period, including losses incurred during any prior consecutive policy period. When this limit is exhausted, coverage will cease immediately and we will notify the Additional Insured that coverage has ceased and no future premiums are due.

    {The language next to the check box will not appear in the policy if there are a fixed number of loses}

    3. When Account Based Coverage is chosen by the Additional Insured, The maximum number of losses in any consecutive 12 month time period for each Additional Insureds account, including losses incurred during any prior consecutive policy period, is limited to the applicable Aggregate Limit as shown in the Declarations

    .

    The applicable Aggregate Limit is determined based on the total number of portable electronic devices on an Additional Insureds account with the Vendor at the time coverage for the Additional insured begins. If during the coverage period, the Additional Insured adds or removes portable electronic devices from their account with the Vendor, the Aggregate Limit will automatically adjust after completion of each covered claim based on the total number of portable electronic devices on their account immediately after completion of the claim. If the number of losses in the prior 12 month time period equals or exceeds the Aggregate Limit applicable after completion of the claim, coverage will cease immediately.

    When this limit is exhausted, we will notify the Additional Insured that coverage has ceased and no future premiums are due.

    III. Subparagraph b. (2) of Paragraph 11. Premiums of Section G. ADDITIONAL CONDITIONS is deleted and replaced by the following:

    (2) Will remit the monthly premium to us through the Agent based on that report.

    For Device Based Coverage, the monthly premium will be calculated by multiplying the Monthly Premium Rate per unit of Covered Property by the total number of such units. For Account Based Coverage, the monthly premium will be calculated by summing the Monthly Premium Rates for the total number of insured accounts.

    All other terms and conditions of the policy remain in full force and effect.

  • CLRI 013 (04/2012) Page 1 of 2 2012 Asurion Insurance Services, Inc.

    Endorsement Number: Endorsement Effective Date: Modifies Policy Number: Issued to First Named Insured:

    [LIBERTY MUTUAL INSURANCE COMPANY]

    [LIBERTY INSURANCE UNDERWRITERS INC.]

    THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

    DEVICE AND ACCOUNT BASED COVERAGE ENDORSEMENT C

    This endorsement modifies insurance provided under the PORTABLE ELECTRONICS COVERAGE INSURANCE POLICY as follows: I. Subparagraph b. Additional Insureds of Paragraph 1. Who Is Covered of Section A.

    COVERAGE is deleted and replaced by the following:

    b. Additional Insureds

    The First Named Insured has the right to request Additional Insured status for a customer for his or her interest in the Covered Property which he, she or it owns (references herein to Insured refer collectively to First Named Insured and Additional Insured). Requests for coverage for Additional Insureds are subject to our approval. (1) Device Based Coverage provides coverage for Covered Property associated with a

    specific enrolled portable electronic device active on the Additional Insureds account with the Vendor.

    (2) Account Based Coverage provides coverage for the enrolled Covered Property active on the Additional Insureds account with the Vendor. For coverage to exist on any portable electronic device, you must have enrolled the device for Account Based Coverage.

    When an Additional Insured enrolls a new portable electronic device for coverage, coverage is effective immediately on the newly enrolled portable electronic device.

    When a portable electronic device is removed from the Additional Insureds account with the Vendor, it immediately ceases to be Covered Property.

    II. Section C. LIMITS OF INSURANCE is deleted and replaced by the following:

    C. LIMITS OF INSURANCE

    1. The most we will spend in any one occurrence to repair or replace Covered Property

    is the applicable Per Claim (Per Occurrence) Limit shown in the Declarations. This Limit of Insurance applies separately to each claim.

  • CLRI 013 (04/2012) Page 2 of 2 2012 Asurion Insurance Services, Inc.

    2. When Device Based Coverage is chosen by the Additional Insured, each Additional

    Insured is limited to the maximum number of losses as shown in the Aggregate Limit section in the Declarations

    in any consecutive 12 month time period, including losses incurred during any prior consecutive policy period,. When this limit is exhausted, coverage will cease immediately and we will notify the Additional Insured that coverage has ceased and no future premiums are due.

    {The language next to the check box will not appear in the policy if there are a fixed number of losses}

    3. When Account Based Coverage is chosen by the Additional Insured, The maximum number of losses in any consecutive 12 month time period, including losses incurred during any prior consecutive policy period, for each Additional Insureds account is limited to the applicable Aggregate Limit as shown in the Declarations

    .

    The applicable Aggregate Limit is determined based on the total number of enrolled portable electronic devices on an Additional Insureds account with the Vendor. If during the coverage period, the Additional Insured adds or removes enrolled portable electronic devices from their account with the Vendor, the Aggregate Limit will automatically be adjusted. In the event an Additional Insured removes portable electronic devices from their account with the Vendor and the number of losses in the prior 12 month time period equals or exceeds the Aggregate Limit applicable to the new number of enrolled portable electronic devices on their account, coverage will cease immediately.

    When this limit is exhausted, we will notify the Additional Insured that coverage has ceased and no future premiums are due.

    III. Subparagraph b. (2) of Paragraph 11. Premiums of Section G. ADDITIONAL CONDITIONS is deleted and replaced by the following:

    (2) Will remit the monthly premium to us through the Agent based on that report.

    For Device Based Coverage, the monthly premium will be calculated by multiplying the Monthly Premium Rate per unit of Covered Property by the total number of such units. For Account Based Coverage, the monthly premium will be calculated by summing the Monthly Premium Rates for the total number of insured accounts.

    All other terms and conditions of the policy remain in full force and effect.

  • CLRI 014 (04/2012) Page 1 of 2 2012 Asurion Insurance Services, Inc.

    Endorsement Number: Endorsement Effective Date: Modifies Policy Number: Issued to First Named Insured:

    [LIBERTY MUTUAL INSURANCE COMPANY]

    [LIBERTY INSURANCE UNDERWRITERS INC.]

    THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

    DEVICE AND ACCOUNT BASED COVERAGE

    ENDORSEMENT D

    This endorsement modifies insurance provided under the PORTABLE ELECTRONICS COVERAGE INSURANCE POLICY as follows:

    I. Subparagraph b. Additional Insureds of Paragraph 1. Who Is Covered of Section A.

    COVERAGE is deleted and replaced by the following:

    b. Additional Insureds

    The First Named Insured has the right to request Additional Insured status for a customer for his or her interest in the Covered Property which he, she or it owns (references herein to Insured refer collectively to First Named Insured and Additional Insured). Requests for coverage for Additional Insureds are subject to our approval. (1) Device Based Coverage provides coverage for Covered Property associated with a

    specific enrolled portable electronic device active on the Additional Insureds account with the Vendor.

    (2) Account Based Coverage provides coverage for the enrolled Covered Property active on the Additional Insureds account with the Vendor. For coverage to exist on any portable electronic device, you must have enrolled the device for Account Based Coverage.

    When an Additional Insured enrolls a new portable electronic device for coverage, coverage is effective immediately on the newly enrolled portable electronic device.

    When a portable electronic device is removed from the Additional Insureds account with the Vendor, it immediately ceases to be Covered Property.

    II. Section C. LIMITS OF INSURANCE is deleted and replaced by the following:

    C. LIMITS OF INSURANCE 1. The most we will spend in any one occurrence to repair or replace Covered Property

    is the applicable Per Claim (Per Occurrence) Limit shown in the Declarations. This Limit of Insurance applies separately to each claim.

  • CLRI 014 (04/2012) Page 2 of 2 2012 Asurion Insurance Services, Inc.

    2. When Device Based Coverage is chosen by the Additional Insured, each Additional

    Insured is limited to the maximum number of losses as shown in the Aggregate Limit section in the Declarations

    in any consecutive 12 month time period, including losses incurred during any prior consecutive policy period,. When this limit is exhausted, coverage will cease immediately and we will notify the Additional Insured that coverage has ceased and no future premiums are due.

    {The language next to the check box will not appear in the policy if there are a fixed number of losses}

    3. When Account Based Coverage is chosen by the Additional Insured, The maximum number of losses in any consecutive 12 month time period for each Additional Insureds account, including losses incurred during any prior consecutive policy period, is limited to the applicable Aggregate Limit as shown in the Declarations

    .

    The applicable Aggregate Limit is determined based on the total number of enrolled portable electronic devices on an Additional Insureds account with the Vendor at the time coverage for the Additional insured begins. If during the coverage period, the Additional Insured adds or removes enrolled portable electronic devices from their account with the Vendor, the Aggregate Limit will automatically adjust after completion of each covered claim based on the total number of enrolled portable electronic devices on their account immediately after completion of the claim. If the number of losses in the prior 12 month time period equals or exceeds the Aggregate Limit applicable after completion of the claim, coverage will cease immediately.

    When this limit is exhausted, we will notify the Additional Insured that coverage has ceased and no future premiums are due.

    III. Subparagraph b. (2) of Paragraph 11. Premiums of Section G. ADDITIONAL CONDITIONS

    is deleted and replaced by the following:

    (2) Will remit the monthly premium to us through the Agent based on that report.

    For Device Based Coverage, the monthly premium will be calculated by multiplying the Monthly Premium Rate per unit of Covered Property by the total number of such units. For Account Based Coverage, the monthly premium will be calculated by summing the Monthly Premium Rates for the total number of insured accounts.

    All other terms and conditions of the policy remain in full force and effect.

  • CLRI 015 (04/2012) Page 1 of 1 2012 Asurion Insurance Services, Inc.

    Endorsement Number: Endorsement Effective Date: Modifies Policy Number: Issued to First Named Insured:

    [LIBERTY MUTUAL INSURANCE COMPANY]

    [LIBERTY INSURANCE UNDERWRITERS INC.]

    THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

    ELECTRICAL AND MECHANICAL BREAKDOWN

    COVERAGE ENDORSEMENT

    This endorsement modifies insurance provided under the PORTABLE ELECTRONICS COVERAGE INSURANCE POLICY as follows:

    I. Paragraph 5. Electrical and Mechanical Breakdown of Section B. EXCLUSIONS is deleted

    and not replaced.

    All other terms and conditions of the policy remain in full force and effect.

  • CLRI 016 (04/2012) Page 1 of 2 2012 Asurion Insurance Services, Inc.

    Endorsement Number: Endorsement Effective Date: Modifies Policy Number: Issued to First Named Insured:

    [LIBERTY MUTUAL INSURANCE COMPANY]

    [LIBERTY INSURANCE UNDERWRITERS INC.]

    THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

    ACCOUNT BASED COVERAGE ENDORSEMENT E

    This endorsement modifies insurance provided under the PORTABLE ELECTRONICS COVERAGE INSURANCE POLICY as follows:

    I. Subparagraph b. Additional Insureds of Paragraph 1. Who Is Covered of Section A.

    COVERAGE is deleted and replaced by the following:

    b. Additional Insureds

    The First Named Insured has the right to request Additional Insured status for a customer for his or her interest in the Covered Property which he, she or it owns (references herein to Insured refer collectively to First Named Insured and Additional Insured). Requests for coverage for Additional Insureds are subject to our approval.

    Account Based Coverage provides coverage for Covered Property active on the Additional Insureds account with the Vendor. When an Additional Insured adds a new portable electronic device to their account with the Vendor, it immediately becomes Covered Property. When a portable electronic device is removed from the Additional Insureds account with the Vendor, it immediately ceases to be Covered Property.

    II. Section C. LIMITS OF INSURANCE is deleted and replaced by the following:

    C. LIMITS OF INSURANCE

    The most we will spend in any one occurrence to repair or replace Covered Property is the applicable Per Claim (Per Occurrence) Limit shown in the Declarations

    . This Limit of Insurance applies separately to each claim.

    Coverage for Covered Property is limited to the maximum number of losses as shown in the Aggre